Individual provider Active NPI

Krista L Gray, PT

  • Health Educator
  • Wasilla, AK
National Provider Identifier
1720380371
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
948310 Issued in AK
Practice address
1301 S Seward Meridian Pkwy Ste C
Wasilla, AK 99654-8369
Phone
(907) 982-4955
Fax
(907) 376-3486
NPI assigned
Dec 1, 2010
Last updated
Dec 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 948310 AK Primary

Addresses

Primary practice location

1301 S Seward Meridian Pkwy Ste C
Wasilla, AK 99654-8369

Mailing address

1301 S Seward Meridian Pkwy Ste C
Wasilla, AK 99654-8369
Phone (907) 982-4955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
948310AKMDHealth Educator

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1720380371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S SEWARD MERIDIAN PKWY STE C",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548369",
            "telephone_number": "907-982-4955",
            "fax_number": "907-376-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S SEWARD MERIDIAN PKWY STE C",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548369",
            "telephone_number": "907-982-4955",
            "fax_number": "907-376-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KRISTA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "AK",
            "license": "948310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.